Analysis Skills, Billing Records, Computer Systems, Credit and Collections, Customer Relations, Health Insurance, Medical Billing, Medical Terminology, Presentation/Verbal Skills, Problem Solving Skills, Record Keeping, Regulatory Compliance, Regulatory Requirements, Spreadsheets, Writing Skills
JOB TITLE: Insurance Verification Specialist
GENERAL SUMMARY OF DUTIES:
Ensures all records are maintained in absolute integrity and in compliance with applicable regulations and requirements. Responsible for obtaining required referrals and authorizations and verifying patient insurance benefits.
REQUIREMENTS:
- 1-2 years experience in healthcare insurance billing, verification, collections and/or authorizations.
- Knowledge of computer systems, programs and spreadsheet applications.
- Knowledge of medical terminology.
ABILITIES/SKILLS:
- Ability to work effectively with customers, medical staff and external agencies.
- Ability to identify, analyze and solve claim problems.
- Skilled in gathering and reporting claim information.
- Skilled in solving utilization problems.
- Skilled in written and verbal communication and customer relations.